| Abdominal Hysterectomy | $5,748$3.5k$7.8k | $2,319 | $9,709 |
| ACL Reconstruction (Arthroscopic) | $7,446$892$37k | $11,093 | $46,434 |
| Basic Metabolic Panel | $11$7$44 | $13 | $55 |
| Bone Marrow Biopsy | $1,695$80$8.4k | $2,516 | $10,532 |
| Breast Biopsy (Ultrasound-guided) | $1,695$892$8.4k | $2,516 | $10,532 |
| Bunion Correction Surgery | $3,358$1.2k$17k | $5,038 | $21,090 |
| Cardiac Ablation for Atrial Fibrillation | $26,823$892$128k | $38,095 | $159,460 |
| Cardiac Catheterization (Left Heart) | $3,327$892$17k | $4,995 | $20,907 |
| Carpal Tunnel Release Surgery | $2,004$764$10k | $3,032 | $12,693 |
| Cataract Surgery with Lens Implant | $2,368$1.9k$12k | $3,542 | $14,825 |
| Cervical Spinal Fusion (Anterior) | $13,175$892$67k | $19,980 | $83,634 |
| Cesarean Delivery (Global Package) | $11,216$2.4k$17k | $4,937 | $20,667 |
| Chemotherapy Infusion (First Hour) | $339$144$1.7k | $515 | $2,156 |
| Chest X-ray (2 Views) | $89$17$368 | $105 | $440 |
| Colonoscopy with Biopsy | $1,228$368$6.1k | $1,831 | $7,664 |
| Complete Abdominal Ultrasound | $107$66$442 | $127 | $532 |
| Complete Blood Count (CBC) with Differential | $8$7$41 | $12 | $51 |
| Comprehensive Metabolic Panel | $13$9$55 | $16 | $69 |
| Coronary Angioplasty with Stent | $11,847$892$59k | $17,610 | $73,714 |
| Critical Care, First Hour | $848$174$4.4k | $1,308 | $5,477 |
| CT Abdomen and Pelvis with Contrast | $358$222$1.5k | $427 | $1,786 |
| CT Cardiac Calcium Scoring | $89$40$368 | $105 | $440 |
| CT Chest without Contrast | $107$87$442 | $127 | $532 |
| CT Head without Contrast | $107$87$442 | $127 | $532 |
| DEXA Bone Density Scan | $107$60$442 | $127 | $532 |
| Diagnostic Colonoscopy | $954$509$4.7k | $1,416 | $5,926 |
| Diagnostic Mammogram (Both Breasts) | $107$86$522 | $156 | $653 |
| Ear Tube Placement (Tympanostomy) | $1,592$591$7.7k | $2,300 | $9,628 |
| Echocardiogram (Complete with Doppler) | $1,835$113$4.1k | $1,039 | $4,350 |
| Emergency Room Visit (Level 3) | $280$65$1.4k | $430 | $1,800 |
| Group Therapy Session | $255$84$537 | $152 | $636 |
| Hemoglobin A1c (Diabetes Test) | $10$8$50 | $15 | $63 |
| HIV Antibody Test | $13$8$46 | $14 | $58 |
| Home Sleep Study | $264$179$912 | $243 | $1,017 |
| Individual Therapy Session (45 Minutes) | $496$147$1.0k | $281 | $1,176 |
| Inguinal Hernia Repair (Open) | $3,674$927$18k | $5,480 | $22,939 |
| Initial Hospital Admission (Level 1) | $140$85$189 | $56 | $236 |
| Initial Psychiatric Diagnostic Evaluation | $532$147$1.2k | $301 | $1,260 |
| Initial Psychiatric Evaluation with Medication Management | $554$147$1.2k | $308 | $1,290 |
| Intensity-modulated Radiation Therapy (IMRT) Treatment | $1,671$327$3.0k | $898 | $3,760 |
| IUD Insertion | $2,033$20$3.0k | $895 | $3,746 |
| IUD Removal | $712$253$1.6k | $472 | $1,977 |
| Knee Arthroscopy with Meniscectomy | $3,358$1.1k$17k | $5,038 | $21,090 |
| Laparoscopic Appendectomy | $6,204$892$30k | $9,060 | $37,923 |
| Laparoscopic Gallbladder Removal | $6,204$892$30k | $9,060 | $37,923 |
| Laparoscopic Tubal Ligation | $6,204$892$30k | $9,060 | $37,923 |
| Lipid Panel (Cholesterol Test) | $16$11$70 | $21 | $87 |
| Lumbar Epidural Steroid Injection | $892$586$3.6k | $1,075 | $4,501 |
| Lumbar Puncture (Spinal Tap) | $724$412$3.6k | $1,075 | $4,501 |
| Lumbar Spinal Fusion (Posterior) | $17,993$892$96k | $28,557 | $119,535 |
| Lumpectomy (Partial Mastectomy) | $4,018$892$20k | $5,946 | $24,890 |
| MRI Abdomen with and without Contrast | $543$290$1.5k | $427 | $1,786 |
| MRI Brain with and without Contrast | $358$290$1.5k | $427 | $1,786 |
| MRI Brain with Contrast | $358$290$1.5k | $427 | $1,786 |
| MRI Brain without Contrast | $309$198$1.0k | $289 | $1,209 |
| MRI Cervical Spine (Neck) without Contrast | $309$198$1.0k | $289 | $1,209 |
| MRI Knee without Contrast | $309$198$1.0k | $289 | $1,209 |
| MRI Lower Back (Lumbar Spine) without Contrast | $245$198$1.0k | $289 | $1,209 |
| MRI Thoracic Spine (Mid-back) without Contrast | $245$198$1.0k | $289 | $1,209 |
| Newborn Circumcision | $2,145$411$11k | $3,181 | $13,315 |
| Nuclear Cardiac Stress Test | $1,329$320$6.8k | $2,027 | $8,486 |
| Office Visit, Established Patient (Level 3) | $164$46$242 | $72 | $303 |
| Office Visit, New Patient (Level 3) | $189$62$279 | $83 | $349 |
| Pacemaker Insertion (Dual Chamber) | $10,726$892$54k | $16,251 | $68,025 |
| PET/CT Scan, Whole Body | $1,467$1.2k$6.0k | $1,742 | $7,293 |
| Pregnancy Ultrasound (Second or Third Trimester) | $107$53$442 | $127 | $532 |
| Prostate Biopsy | $7,369$892$11k | $3,181 | $13,315 |
| PSA Prostate Cancer Screening | $45$16$101 | $29 | $123 |
| Pulmonary Function Test with Bronchodilator | $383$13$1.6k | $484 | $2,024 |
| Rotator Cuff Repair (Arthroscopic) | $7,446$892$37k | $11,093 | $46,434 |
| Screening Mammogram | $88$71$432 | $129 | $540 |
| Septoplasty (Deviated Septum Repair) | $3,402$946$17k | $5,036 | $21,080 |
| Sinus Surgery (Endoscopic, with Tissue Removal) | $7,242$892$36k | $10,750 | $44,996 |
| Skin Biopsy (Tangential) | $466$338$1.7k | $309 | $1,292 |
| Skin Lesion Removal (Benign, up to 0.5 cm) | $1,695$658$8.4k | $2,516 | $10,532 |
| Sleep Study (In-lab Polysomnography) | $881$311$5.3k | $1,580 | $6,613 |
| Spinal Cord Stimulator Trial | $6,540$892$34k | $10,191 | $42,659 |
| Spirometry (Breathing Test) | $222$10$912 | $243 | $1,017 |
| Tonsillectomy and Adenoidectomy (Age 12 and Over) | $3,402$805$17k | $5,036 | $21,080 |
| Tonsillectomy and Adenoidectomy (Under Age 12) | $6,075$798$31k | $9,186 | $38,452 |
| Total Hip Replacement | $13,175$892$67k | $19,980 | $83,634 |
| Total Knee Replacement | $13,175$892$67k | $19,980 | $83,634 |
| Total Mastectomy | $6,814$892$34k | $10,127 | $42,389 |
| TSH Thyroid Function Test | $25$14$87 | $26 | $109 |
| TURP (Transurethral Prostate Resection) | $5,502$892$26k | $7,894 | $33,044 |
| Upper GI Endoscopy (EGD) | $931$329$4.9k | $1,456 | $6,094 |
| Urinalysis with Microscopy | $4$3$17 | $5 | $21 |
| Vaginal Birth After Cesarean (VBAC) Global Package | $14,885$2.4k$22k | $6,552 | $27,426 |
| Vaginal Delivery (Global Package) | $11,216$2.4k$17k | $4,937 | $20,667 |
| Vaginal Hysterectomy | $5,134$892$26k | $7,666 | $32,087 |
| Vasectomy | $2,145$892$11k | $3,181 | $13,315 |
| Vitamin D Blood Test | $44$25$154 | $46 | $192 |